SANFORD BROADWAY MEDICAL BUILDING – NPI #1609156900
Internal Medicine

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

SANFORD BROADWAY MEDICAL BUILDING is a provider located in FARGO, ND. NPPES has assigned the NPI number 1609156900 to SANFORD BROADWAY MEDICAL BUILDING on August 18, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SANFORD BROADWAY MEDICAL BUILDING” is a dba name, the actual legal business name for this organization is SANFORD MEDICAL CENTER FARGO. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Infectious Disease

The NPI profile was previously updated about 3 years ago on Nov 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SANFORD BROADWAY MEDICAL BUILDING below.

NPI Profile for
SANFORD MEDICAL CENTER FARGO

NPI Number
1609156900
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SANFORD MEDICAL CENTER FARGO
Doing Business As (dba): SANFORD BROADWAY MEDICAL BUILDING
Primary location
736 BROADWAY N
FARGO, ND 58102-4421
Phone: (701) 234-2000 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARTHA LECLERC
VICE PRESIDENT
Phone: (701) 234-6248
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669